Pending · due 30 Nov 2027

A US health payer with national scope covers accelerated TMS delivered in outpatient clinics, through a published coverage policy or a publicly announced pilot or network agreement.

TRUE on the effective date of (a) a published medical policy, bulletin or fee schedule of a US health payer with national scope (a national commercial insurer or a federal program) that lists an accelerated TMS protocol (more than one session per day, e.g. accelerated iTBS or SAINT/SNT) as covered or medically necessary in an outpatient clinic, or (b) a public announcement by such a payer, alone or with a provider, of a pilot or network agreement that pays for accelerated TMS in outpatient clinics. Once-daily TMS coverage, trial-only coverage, case exceptions, a single-state or regional plan, an unpublished contract, or inpatient-only coverage does not count. FALSE at the deadline when no such policy or announcement is dated by then. Resolution source: the payer's policy bulletin or fee schedule, or the payer's or provider's press release for the agreement.

Resolution source: The payer's published medical policy bulletin or fee schedule; payer or provider press release for a pilot or network agreement

Readings: 'or Accelerated TMS' is read as 'for Accelerated TMS' (typo), per the finder and the sentence structure.; 'A national payor—or two' = at least one payer with national scope; a single-state or regional plan does not count.; 'It won't be broad—it will start with pilots and narrow network deals': the forecaster counts pilots and narrow network arrangements as coverage, so a publicly announced pilot or network agreement satisfies the event.; 'Accelerated TMS' = protocols with more than one TMS session per day (accelerated iTBS, SAINT/SNT-type), as in the related proposals new:uhc-covers-accelerated-tms-depression and new:additional-health-plan-covers-accelerated-tms.; 'We' is read as accelerated-TMS providers, which include the forecaster's employer Radial.